Senior Accountant

About Us

At SimplePractice, we are improving access to quality care by equipping health and wellness clinicians with all the tools they need to thrive in private practice.

More than 250,000 providers trust SimplePractice to build their business through our industry-leading software with powerful tools that simplify every part of practice management. From admin work to clinical care, our suite of innovative solutions work together to reduce administrative burden—empowering solo and small group practitioners to thrive alongside their clients.

Award-winning and people-first, SimplePractice is shaping the future of health tech. In 2026, we were recognized by BuiltIn as a Best Remote Company to Work For, Software Guru's Best Places to Code, Becker Healthcare Telehealth Companies to Know, and we won a MedTech Breakthrough Award for Best Practice Management Solution Provider.

The Role

The Accounting team is responsible for understanding and telling SimplePractice's financial story and shaping our collective understanding of how the business is performing. We maintain a well-controlled environment that supports corporate governance, financial reporting, and disclosure requirements, and we partner closely with Finance, People, Legal, Product, and

Engineering to advise on the accounting treatment of new business initiatives. We operate in a fast-paced environment and work cross-functionally on a daily basis.

In this role, you'll own key accounting areas and processes that support the recognition and reporting of our financial results. You'll partner with stakeholders across Finance, People, Legal, Product, and Engineering to understand and advise on the accounting treatment of business initiatives and transactions. You'll take ownership of balance sheet and P&L account reconciliations, support internal and external reporting, and help implement and maintain effective controls as we scale.

Responsibilities

• Plan and perform monthly and quarterly close activities, including balance sheet reconciliations, variance analyses, and internal management reporting
• Research and document technical accounting positions for new accounting pronouncements and business initiatives
• Draft and maintain accounting policies and procedural documentation
• Analyze financial performance, identify trends, and provide clear variance explanations to key stakeholders
• Support the design, implementation, and execution of internal control procedures
• Help build scalable accounting processes to support company growth, including identifying opportunities for automation
• Partner with Product, Systems, Treasury, Tax, People, and Legal on financial systems and process improvements
• Support external audit requests and provide supporting schedules and analysis as needed
• Desired Skills & Experience
• 4+ years of relevant public accounting and/or industry experience, with a B.A. or B.S. in Accounting, Finance, or a related field (CPA preferred)
• Strong working knowledge of U.S. GAAP and the ability to research and document complex accounting topics
• Experience with internal controls, including design, implementation, and execution
• Strong Excel skills and comfort working with large data sets
• Excellent written and verbal communication skills, with a proven ability to partner with and influence cross-functional stakeholders
• A track record of delivering on challenging projects independently, with a solution-oriented mindset
• Bonus Points
• Experience in SaaS, healthtech, or a subscription-based business
• Experience with NetSuite or similar ERP systems
• SQL experience